Civilian Response Corps Database In-Processing Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0168 can be found here:

Documents and Forms

Document Name Document Type
Form DS-4096 Civilian Response Corps Database In-Processing Form Form and Instruction
DS-4096 Civilian Response Corps Database In-Processing Form ds4096 revised.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Civilian Response Corps Database In-Processing Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-4096	Civilian Response Corps Database In-Processing Form	ds4096 revised.pdf		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title: Office of the Coordinator for Reconstruction and Stabilization Records	FR Citation: 74 FR 112

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	-400	2,400
Annual IC Time Burden (Hours)	2,000	800	1,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.